NPI | 1639766975 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LEWIS Administrator 914-523-3252 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
Enumeration Date | 2020-12-21 |
Last Update Date | 2020-12-21 |