| NPI | 1679843122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CARLIN HOMONOFF Manager 212-580-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 124360) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |