| NPI | 1952169484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLAPO FOX Nurse Practitioner 646-571-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-04-25 |