| NPI | 1952319063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE ALAN PRIMACK President 814-201-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD038175E) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-09-26 |