| NPI | 1821315102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA SIMEONE Partner 631-360-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400563-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R041337-1) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |