| NPI | 1427921618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAISHIE LOWE Psychiatric Nurse Practitioner 718-791-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-11-11 |