| NPI | 1093253163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNA JANE VICTORIA ALLEN Registered Nurse 347-324-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY 7168871) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |