| NPI | 1457819831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE PERSAD President 516-690-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-02-12 |