| NPI | 1699557652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ELIACIN Nurse Practitioner 973-963-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |