| NPI | 1780445437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ALVARADO Manager 212-547-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |