| NPI | 1093487928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELIZABETH NASIS-MATUZA Nurse Practitioner 516-314-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |