| NPI | 1922517598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN METCALF Credentialing Manager 718-698-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-12-09 |