NPI | 1366255598 |
---|---|
Doing Business As | JUNIPER RIDGE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | JENNIFER CORTEO Owner 516-581-5089 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-01-30 |
Last Update Date | 2025-01-30 |