| NPI | 1992249098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ITZKOFF Owner 917-609-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 2785171) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-08-30 |