| NPI | 1568061935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JANE MASTRO President 518-441-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-19 |