| NPI | 1164315867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBUSOLA ONWUEMENE President 718-581-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-05-31 |