| NPI | 1548007495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN XUEREB Nurse Practitioner 917-359-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-26 |