| NPI | 1134804164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA PRAVEEN Psychiatric Nurse Practioner 973-234-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |