| NPI | 1669885513 |
|---|---|
| Other Name | KINGSTON NEURO. BROADWAY |
| Entity Type | Organization |
| Authorized Contact | RONALD TATELBAUM President 845-475-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-08-08 |