| NPI | 1124254081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTA MOPELOLA OSINOWO Registered Professional Nurse 718-513-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 490545) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |