| NPI | 1073061842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC OFORI Owner 347-432-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-02-16 |