NPI | 1245003649 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNALYN JALIE RASUL Pmhnp Bc 347-437-7526 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-11-07 |
Last Update Date | 2023-11-07 |