NPI | 1851050215 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMIR ALDAD CEO 516-505-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-12-14 |
Last Update Date | 2023-09-22 |