| NPI | 1366242273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LEE Owner 631-509-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-04-17 |