NPI | 1194326983 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN CARLOS ORTIZ CALCANO Business Owner/Family Health Np 718-200-8094 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
261QP2300X Clinic/Center, Primary Care | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2020-11-06 |
Last Update Date | 2024-04-25 |