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 |