| NPI | 1801007893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA ILIZIROV Staff Psychologist 718-613-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 016742-1) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |