| NPI | 1558436360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KHARITONOVA Attending Psychiatrist 718-437-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY 208942) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |