| NPI | 1811634447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE KASWER Credentialing Specialist 845-849-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |