| NPI | 1881121234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINO SANTORO Member 518-825-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 272676) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-12-09 |