| NPI | 1659628832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU BOPPANA Owner 212-924-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 199052-1) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |