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 |