| NPI | 1679273676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARUVASTRA Owner/President 646-389-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |