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