| NPI | 1780241265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN WALTER CERRI CEO 516-710-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |