| NPI | 1861895070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES H. WHITAKER Psychiatrist 646-692-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 137109-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 137109-1) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |