| NPI | 1811409386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA NOVAK Nurse Practitioner 914-771-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401402) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-12-10 |