| NPI | 1730288697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE G. MEDNICK Office Manager 203-234-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 037501) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-06-21 |