| NPI | 1437847506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE ALEESHA SOLOMON Psychiatric Nurse Practitioner 716-598-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |