| NPI | 1790405173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALETHA SHABAZZ Billing Specialist 201-809-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |