| NPI | 1134706682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNA LOPEZ A RN P 646-314-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |