| 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 |
| 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 |