| NPI | 1184383044 |
|---|---|
| Doing Business As | NORTHEAST FNPS |
| Entity Type | Organization |
| Authorized Contact | LINDA KOWALSKI Provider/Owner 518-843-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-02-08 |