| NPI | 1699720888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC W HALTERMAN President / Director 631-444-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-09-26 |