| NPI | 1619367885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAH OMER MOHIUDDIN Owner 315-481-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 266512) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |