| NPI | 1598909780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. ZUCKERMAN Physician 631-360-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 171222) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2015-06-01 |