| NPI | 1558129932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ESPOSITO Director Of Operations 631-538-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |