| NPI | 1942798194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL GIBBINGS-ISAAC Co Founder 347-254-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |