| NPI | 1063683068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE COLOSI Dir Of Finance Wd 914-997-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2019-04-11 |