| NPI | 1902142797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA KOGAN President 732-306-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA08800000) |
| Enumeration Date | 2012-12-24 |
| Last Update Date | 2014-12-10 |