| NPI | 1578844320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIMENA MORALES Owner 718-797-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 245656) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 245656) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |