| NPI | 1013640572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ADJIN Nurse Practitioner 718-568-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2023-07-06 |