| NPI | 1871759712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H BAGLEY Owner 212-280-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 132024) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |