NPI | 1083405278 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAYNA DAHAN Owner/ Provider 914-772-0855 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |