| NPI | 1053669614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SHEEHAN Chief Financial Officer 516-361-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305624) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305646) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |