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 |