| NPI | 1295353266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE DEIGNAN Nurse Practitioner/Owner 914-216-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-01-04 |