| NPI | 1730447806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WILSON BRONER Medical Director 212-616-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 233633) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-06-04 |