| NPI | 1255155743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MICHAEL Nurse Practitioner/Owner 631-949-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |