| NPI | 1831666833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER LEBOVIC Owner 718-362-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2020-06-06 |