| NPI | 1104659374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LARTELEY LARKAI Nurse Practitioner 646-660-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |