| NPI | 1962037473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIXON CORNAY Psychiatric Nurse Practitioner 917-587-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-07-06 |