| NPI | 1619472271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CARLOS CABASSA Owner/Authorized Official 646-952-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-03-25 |