| NPI | 1821740622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARYAY GEFEN Owner 848-333-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-02-08 |