| NPI | 1790952570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIY CHERNOV Phisician 718-253-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NY 232633) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |