| NPI | 1902369093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMENDRA GOYAL Owner 347-654-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-10-15 |