| NPI | 1104634773 |
|---|---|
| Doing Business As | MINDCORE |
| Entity Type | Organization |
| Authorized Contact | TERRY-JAN BLACKETT-BONNETT Authorized Official 347-404-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2025-04-14 |