NPI | 1053187179 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET HERON Owner 646-346-4709 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |