| NPI | 1548666803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHER HUSAINY Owner 772-770-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME41139) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |