| NPI | 1093281735 |
|---|---|
| Doing Business As | SHORE PARKWAY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BORIS BOBYR Nurse Practitioner 718-682-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2022-02-19 |