| NPI | 1689813636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA BHACHAWAT Owner 631-465-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 246300) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2017-04-21 |