| NPI | 1912286469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RAFAEL HERNANDEZ Physician 718-323-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 246969) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2014-12-31 |