| NPI | 1821800913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SILAO Director 917-597-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |