| NPI | 1033864947 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WENDKUUNE ELODIE ZINKONE Registered Nurse 347-573-6424  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Additional Taxonomies | 251J00000X Nursing Care | 
| Enumeration Date | 2022-02-18 | 
| Last Update Date | 2022-03-17 |