| NPI | 1801660998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TAUB Psychiatric Nurse Practiitioner 516-810-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |