| NPI | 1659952315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT ELAINE ROSENTHAL Owner 631-974-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |