NPI | 1518718774 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED LATIF Owner 347-986-8388 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 111N00000X Chiropractor |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
2085B0100X Radiology, Body Imaging | |
225100000X Physical Therapist | |
225700000X Massage Therapist | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-06-07 |