| NPI | 1649478686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BAEZ COO 516-670-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 225943) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-12 |