| NPI | 1285500900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERINA SAFONOVA Owner 917-538-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |