| NPI | 1568878593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CONTOVASILIS President 631-357-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 273271) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |