NPI | 1023481900 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SEGAL Physician 212-398-1709 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30307391) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |