| NPI | 1114731866 |
|---|---|
| Former Legal Business Name | STUDIO HEALTH FAMILY HEALTH NP PC |
| Entity Type | Organization |
| Authorized Contact | ROBIN EBONY GIBSON-SIMMS Owner 347-512-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |