| NPI | 1033559091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE D AVENT Owner 917-853-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334400) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-08-25 |