| NPI | 1750838488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU BABU BOPPANA Owner 646-270-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 199052) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-11 |