| NPI | 1902094824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FELDMANN Office Administrator 631-447-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |