| NPI | 1679069546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ MARIEL OVIEDO Vice President 718-666-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207K00000X Allergy & Immunology | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-07-27 |