| NPI | 1740164631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT SANTELL Owner 518-791-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-09-29 |