| NPI | 1982411393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEEB HUSSAIN Chief Operating Officer 516-673-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-04-25 |