| NPI | 1154052991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR VARGHESE Owner Of Entity 347-283-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-05-26 |