| NPI | 1619638822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA GAVERAS CEO/Chief Medical Officer 917-309-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-03-18 |