| NPI | 1780630657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR HADDAD President 631-780-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 220993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 016755) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-01-19 |