| NPI | 1922200609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DIBUONO Owner 718-317-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 156059) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2014-05-16 |