| NPI | 1114122991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BRIDGET OBRIEN President 631-656-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f400083) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-01-12 |