ILLUMINATE NP PSYCHIATRY

ORCHARD PARK, NY
NPI1003671009
Entity TypeOrganization
Authorized ContactAMY KOTARSKI
Owner/Psychiatric Nurse Practitione
716-903-6036
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
ILLUMINATE NP PSYCHIATRY
3055 SOUTHWESTERN BLVD STE 110
ORCHARD PARK, NY 14127-1231
Phone number: 716-903-6036
Mailing Address
ILLUMINATE NP PSYCHIATRY
3055 SOUTHWESTERN BLVD STE 110
ORCHARD PARK, NY 14127-1231
Phone number: