| NPI | 1598057812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA FUZAYLOVA Medical Director 718-275-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |