| NPI | 1215810874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JANUSZEWSKI Owner/Nurse Practitioner 516-592-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |