| NPI | 1851609101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY ZHIVOTENKO President 516-507-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |