| NPI | 1972908960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULI FRADKIN Owner 646-685-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09283000) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2023-03-25 |