| NPI | 1649339318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ABDELHADY SHATLA Doctor Owner 315-266-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 214256) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-06-01 |