| NPI | 1457083388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MONGE O'CONNELL Owner 845-579-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-05-30 |