| NPI | 1700532587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISSELL DELVALLE Medical D Irector 201-490-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-08-25 |