| NPI | 1972360006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA DESROSIERS Pmhnp Bc 646-416-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |