Organization
OPERATION ENGAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BAUM (BOARD MEMBER)
(516) 729-8606
Entity
Organization
Contact information
Practice address
163 CHARLES BLVD, VALLEY COTTAGE, NY 10989-2438
(631) 624-2872
Mailing address
111 5TH ST, HOLBROOK, NY 11741-3701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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