| NPI | 1063193779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ABRAMOV Adult Nurse Practitioner 917-208-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |