| NPI | 1558134411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDOYIN ASIMOLOWO Authorized Official 347-912-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |