| NPI | 1831651876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SILAO Co Director 917-597-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-04-16 |