| NPI | 1811291503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHMY IBRAHIM Owner 718-300-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2017-03-29 |