| NPI | 1508628884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JOSEPH Psychiatric Nurse Practitioner 917-530-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-25 |