| NPI | 1174301055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOBI FATIMA OGUNRINDE President 347-444-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-11-06 |