| NPI | 1558608018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID ALTSHULER Owner 347-782-7247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME104094) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |