| NPI | 1740164631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT SANTELL Owner 518-350-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-10-28 |