| NPI | 1184382244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LEONARD Owner 917-843-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-20 |