| NPI | 1528414422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ALEXANDER MARGOLIS Owner/Physician 917-669-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: RI MD14779) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD14779) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD14779) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-15 |