| NPI | 1174492995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMIMAH OMAVUEZI Physician Assistant/Owner 646-549-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |