| NPI | 1053768044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISEY SIMKHAYEV Nurse Practitioner 646-559-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307403) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-07-25 |