NPI | 1639353444 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN KLESMER Manager 917-584-5043 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 170536) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2017-03-30 |