| NPI | 1023306909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEEDA MOHAMMED Nurse Practitioner 917-569-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-18 |