| NPI | 1760806681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ORMSON Credentialer 917-945-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 243188) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |