| NPI | 1417830233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAT KANTI DEY Member And Operating Manager 929-955-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |