| NPI | 1821395203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MICHAEL JOHNSON President 347-756-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 248684) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2011-02-19 |