| NPI | 1336708924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL RIFKIN Nurse Practitioner 212-847-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2022-04-13 |