NPI | 1154976876 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY TERRONE Authorized Official 929-564-8160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-08-08 |
Last Update Date | 2023-11-08 |