| NPI | 1285362749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CHRISTOPHER SHARPE Member 585-709-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |