| NPI | 1487645917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL SEREMET Billing And Credentialing Specialis 814-452-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD030792E) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-11-12 |