| NPI | 1013450931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEZA BIALA Pediatric Nurse Practitioner 718-630-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 3823999-1) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |