| NPI | 1558490656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M NEWMAN Medical Director 516-822-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 120022) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 116328) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 116326) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 129480) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 228114) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |