NPI | 1245651025 |
---|---|
Former Name | EMMANUEL DENIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405572) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308773) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 678801) | |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 678801) | |
Enumeration Date | 2013-12-23 |
Last Update Date | 2024-02-09 |