| NPI | 1548805617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIL E GERMAIN Owner 516-412-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-12-18 |