| NPI | 1063921922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEAFEA MOORE PEAL Family Nurse Practitioner 347-858-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337511) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |