| 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 |