| NPI | 1164237426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR H. ESTUPINAN President 347-531-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-04-16 |