| NPI | 1801102900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HEISMAN Owner 718-449-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 199971) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 199971) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |