| NPI | 1700981222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA PANTELYAT President 215-673-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD417337) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 25MA07382000) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |