| NPI | 1851060495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROAN EMANUEL FORGIE President 646-591-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |