| NPI | 1902043029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R. KORROL Owner 631-549-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 095661) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |