| NPI | 1780014761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALAKA INDULKAR Member And Organizer 718-288-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2019-02-19 |