| NPI | 1821833765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L ZAYAS Member 939-238-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-18 |