| NPI | 1912594268 |
|---|---|
| Doing Business As | JULIE GOMBIESKI, APRN |
| Entity Type | Organization |
| Authorized Contact | JULIE GOMBIESKI Ap RN 631-807-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |