| NPI | 1134937220 |
|---|---|
| Other Name | EIGHTY 8TH NP IN ADULT HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARIE GUERLINE PAUL CEO 347-636-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2025-10-23 |