| NPI | 1669096699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARON FONG Nurse Practitioner Of Psychiatry 718-704-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-01-16 |