| NPI | 1548545809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MEDINA President 917-856-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 170738) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2021-08-14 |