| NPI | 1649368382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA LIDAGOSTER Medical Director 917-923-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 198681) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-09-06 |