| NPI | 1912537564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIRA AMBARIAN Medical Director 917-676-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2022-03-18 |