| NPI | 1285491977 |
|---|---|
| Former Legal Business Name | FLOW STATE PSYCH |
| Entity Type | Organization |
| Authorized Contact | COREY K GONERA Np 917-765-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |