| NPI | 1760126031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY ROTHSCHILD Owner 516-491-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-04-23 |