| NPI | 1609107796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLO VEZZA Biller 718-886-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 239736) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |