| NPI | 1720966708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMISHA KELLY Psychiatric Np 917-449-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |