| NPI | 1750935938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY JORDAN Psychiatric Nurse Practitioner 914-315-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |