| NPI | 1750808051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LE-BEN WAN President 929-322-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 261874) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-12-24 |