| 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 |