| NPI | 1528593340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CATHERINE DEFILIPPO Nurse Practitioner 516-321-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401781) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-04-30 |