| NPI | 1043817885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NG WALDMAN Owner/Authorized Official 347-385-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-07 |