| NPI | 1881644102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA SHAJENKO Director/Owner 201-943-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08061700) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-07-21 |