NPI | 1124105705 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA A DI BELLA-PRICE Nurse Practitioner/First Assist 631-246-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302541) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |