| NPI | 1740887595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKSANA COHEN Owner 917-459-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |