| NPI | 1700357233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISELANDE DESYR Pmhnp Bc 929-334-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-01-18 |