| NPI | 1982261194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA ILIC Medical Director 914-358-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-09-01 |