| NPI | 1275905994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAGAN ANUSIONWU Sole Proprietor 646-798-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401556) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |