| NPI | 1053086744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCA RADOMILE Owner Of Entity 914-732-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-09-16 |