| NPI | 1497516041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKOSUA CONSTANCE ABABIO Owner 631-745-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-09-18 |