| NPI | 1033814959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA ROSELIA SANTOS-BURKS Nurse Practitioner 315-489-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |