| NPI | 1528946829 |
|---|---|
| Doing Business As | EMERGING PATH NURSE PRACTITIONER IN |
| Entity Type | Organization |
| Authorized Contact | TINA DANTONIO Office Manager 631-629-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-27 |