| NPI | 1548004120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUREMI HILDA BANKOLE Nurse Practitioner 917-392-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-06-17 |