| NPI | 1669982617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE J LIZ DEFILLO Practitioner 646-359-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 270405) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |