| NPI | 1184317000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHTAB ABBASI Office Manager 917-336-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-31 |