| NPI | 1477166585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD ROMBOM Owner 516-466-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |