| NPI | 1790483766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNER CUVILLY Nurse Practitioner Psychiatry 646-671-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |