| NPI | 1952753592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATMAN BENGELOUN Director 631-455-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 216491) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |