| NPI | 1346095700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY FREDERIC Nurse Practitioner 917-239-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |