| NPI | 1215594395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PALMA Psychiatric Ap RN 631-327-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-10-22 |