| NPI | 1891237731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIL RAJ SHARMA Administrator 646-202-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 68018267) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |