| NPI | 1629480538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LOW Owner 631-598-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 167791) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |