NPI | 1932404100 |
---|---|
Entity Type | Organization |
Authorized Contact | PEDROSO E MAURA President 917-407-7346 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07746600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07746600) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2024-04-12 |