| NPI | 1518415983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGHID GANNON Owner 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401646) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-01-19 |