| NPI | 1902091374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN AARON WILLER Owner 917-887-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 174836) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |