| NPI | 1518308287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CARPENTER Office Manager 212-457-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |