| NPI | 1811192248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY ZHIVOTENKO President 516-791-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2023-03-07 |