| NPI | 1003307950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMI JOSEPH CEO 516-222-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401662-1) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2018-05-27 |