NPI | 1932499969 |
---|---|
Entity Type | Organization |
Authorized Contact | JADE Y HON President And CEO 718-888-9989 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 254514-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2011-04-11 |
Last Update Date | 2016-09-28 |