| NPI | 1699020545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J ROSEN Sole Owner 516-761-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 179918-1) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |