| NPI | 1962877688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNAH MCCARTHY Office Manager 585-473-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 199182-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 389207-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 42787-1) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |