| NPI | 1831050301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAAKOV DINER Nurse Practitioner 732-503-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2025-11-22 |