| NPI | 1265278824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA PREVILLON Family Nurse Practitioner 718-598-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |