| NPI | 1649476854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH STOLLER Director 212-563-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07912600) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-09-25 |