| NPI | 1316701261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA KANJI Md 631-427-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |