| NPI | 1619333259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HOREY President 646-479-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |