YOGATASTIC

NPI # 

Practice Address:

106 Park Blvd

Malverne, NY, 11565-1717

Practice Phone:

917-306-6054

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X