| NPI | 1174345847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LISS Nurse Practitioner 518-374-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-28 |