NPI | 1770315335 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUCHI GLORIA ONEBUNNE Owner 516-350-8564 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-08-14 |