| NPI | 1134644479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE BROOK President 516-359-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336718) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |