NPI | 1164110060 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE HALSTEAD Owner/CEO 914-439-2205 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |