| NPI | 1063020857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINS AKHIBI Nurse Practitioner 347-912-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-08-14 |