| NPI | 1811292980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA E PEDROSO President 917-407-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 212036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 212036) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |