| NPI | 1770219321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE A RUMBERGER Psychiatric Nurse Practitioner 518-980-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-06-02 |