| NPI | 1629069901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMONIAM MADHUSOODANAN President S. Madhusoodanan Md Pc 516-371-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 138957) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-03-17 |