| NPI | 1548684244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN IBRAHIM Medical Director 516-724-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB09396200) |
| Enumeration Date | 2014-02-16 |
| Last Update Date | 2016-11-08 |