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 |