| NPI | 1376391771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA R BERRY Psychiatric Nurse Practitioner 516-710-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |