| NPI | 1720041106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU SONG KAO President 570-829-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD017676E) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-12-01 |