| NPI | 1902962335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA MARIA SOMMERSON Registered Nurse 631-669-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 448024-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-06-27 |