| NPI | 1861183816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANER AYDIN Authorized Official / Owner 631-252-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-05-28 |