| NPI | 1255053971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHUSHBOO SURTI Nurse Practitioner 201-982-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-05-02 |