NPI | 1205671567 |
---|---|
Entity Type | Organization |
Authorized Contact | CHIOMA UGO-OGBUEWU Owner/Apn 516-855-7279 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |