| NPI | 1780979740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO IGOR BRACAMONTE President 845-235-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 42622) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |