| NPI | 1073149456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELLE MONTELUS Nurse Practioner/President 516-661-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |