| NPI | 1851134803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JEAN BAPTISTE Pmhnp Bc 631-507-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |