| NPI | 1952052409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOSUNMOLU SHOYINKA Md 917-589-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-05-12 |