| NPI | 1982970851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASDEEP SINGH HUNDAL Clinical Director 646-926-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00506700) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 68-019245) |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 68-019245) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-12-30 |