| NPI | 1720314792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB REN Pbs Director 212-356-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |