Graduated: 2021
Offers telehealth
NPI: 1174864185
Practice Locations (2)
PREMIER HEALTHCARE INC
21111 NORTHERN BLVD
BAYSIDE, NY 113613241
7187051000
MODERN PSYCHIATRIC NURSE PRACTITIONER PC
1740 84TH ST
BROOKLYN, NY 112142825
7188558584
Source: CMS National Downloadable File, September 2026.