| NPI | 1881928497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNGMAN MICHAEL SUH Owner 718-746-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2021-12-06 |