| NPI | 1760268510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN ABBARIAO Administrator 929-310-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-10-26 |