| NPI | 1093407132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SCHOENBACH Psychiatric Nurse Practitioner 631-707-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-06-30 |