| NPI | 1033958970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX IYINBOR OSAWARU Director 518-316-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-12-09 |