| NPI | 1881135267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA KOGAN Owner 718-975-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 248704) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |