| NPI | 1609090018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JOSETTE GREER Medical Director 718-220-9755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-01-25 |