| NPI | 1407455967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JEAN SCHWARZ Nurse Practitioner Of Psychiatry 631-321-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-12-09 |