| NPI | 1790093342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HACKETT VP 212-256-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |