NPI | 1700300456 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY SCHOENBACH Psychiatric Nurse Practitioner 631-707-2394 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-07-21 |