| NPI | 1750012019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS BRUCH Treasurer 917-214-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-11-16 |