| NPI | 1568122646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN PESTRAK Psychiatric Nurse Practitioner 516-737-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |