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 |