NPI | 1699463190 |
---|---|
Entity Type | Organization |
Authorized Contact | HASSAN IBRAHIM Owner/Provider 929-801-1540 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-04-24 |