| NPI | 1144100868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAFAR YAKUBU Nurse Practitioner 347-614-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |