| NPI | 1922543602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S SHAPIRO Exec. Vice President And CFO 516-321-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-03-29 |