| NPI | 1912417106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL CALIMANO President 631-926-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 238218) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 238218) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-03-17 |