| NPI | 1023907789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDEL MICHEL Nurse Practitioner 917-379-6548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |