| NPI | 1366147431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN PAYTON Nurse Practitioner 516-885-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |