| NPI | 1235625344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY FISCHER Psychiatric Nurse Practitioner 315-751-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401841) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |