| NPI | 1477851640 |
|---|---|
| Doing Business As | SUNY DMC@LICH-NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-04-04 |