| NPI | 1588971782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROOSEVELT CLERISME Medical Director 718-217-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 154315) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |