| NPI | 1558315531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEMA MAINDIRATTA President/Physician 631-422-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 203259) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-07-21 |