| NPI | 1891663415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONSHAY HUDSON Nurse Practitioner 914-393-7947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |