| NPI | 1750176418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMMY PETERSON Psychiatric Nurse Practitioner 917-232-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |