| NPI | 1457228132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA JOSANN NEBBLETT-ROBERTS Psychiatry Nurse Practitioner 917-689-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |