| NPI | 1548910698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROAN EMANUEL FORGIE President 646-591-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |