| NPI | 1639602493 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KELLY MILTON Neurologist 646-752-1304  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 48574)  | 
| Enumeration Date | 2017-04-09 | 
| Last Update Date | 2018-08-26 |