| 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 |