| NPI | 1962891515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN C RODRIGUEZ Tin Owner 914-450-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F400552-1) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |