| NPI | 1902285539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BECK Owner 516-248-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 264325) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |