| NPI | 1568824639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN PESTRAK Psychiatric Nurse Practitioner 516-737-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 401811) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-04-11 |