| NPI | 1184084295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA SHAMS Nurse Practitioner 917-864-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F307201) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |