| NPI | 1982875662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA N METELITISIN Owner 201-587-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-07-13 |