| NPI | 1043423882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN COSGROVE President 516-785-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400581-1) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |