| NPI | 1669628749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENSUD KURJAKOVIC Sole Proprietor 212-882-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |