| NPI | 1336875756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA WEINBERG Nurse Practitioner 516-588-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |