| NPI | 1679244768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LUKE COO 718-520-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 251B00000X Case Management | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-01-29 |