| NPI | 1225311384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY BIGIO Director 646-872-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400211) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |