| NPI | 1487958559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON E HERSHBERGER Chairman / P.C. President 718-613-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2020-02-13 |