| NPI | 1861647893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A BONOMO President 646-688-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 138924) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |