| NPI | 1093430837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SHERIDAN Vice President, COO 917-693-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |