| NPI | 1538398052 |
|---|---|
| Doing Business As | PRIVATE PRACTICE CENTER OF NY |
| Entity Type | Organization |
| Authorized Contact | SHARON DE JESUS Nurse Practitioner/Owner 347-935-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400845) |
| Additional Taxonomies | 251S00000X (Licence: NY 400845) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2011-01-22 |