| NPI | 1538371018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISKANDER DERD ENIKEEV Medical Director 718-331-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-10-05 |