| NPI | 1023740503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA DABREO CEO 917-667-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-03-01 |