| NPI | 1922019694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA B BAVARO Billing Manager 201-488-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-10-26 |