| NPI | 1831489046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO JOSE EVANGELISTA President 718-939-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 128544) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |