| NPI | 1801082219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITO DURANO TAN Owner 516-536-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 126705) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-21 |