| NPI | 1306555438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAN HINES Owner/Authorized Official 914-267-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-05-11 |