| NPI | 1841885365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS COLON Manager 917-674-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |