| NPI | 1942430061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL SAMUELLY Owner 718-282-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 102858) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-10-19 |