| NPI | 1790957835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISLE L. ST. MARTIN Owner / President 718-520-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 153547) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-07-02 |