| NPI | 1235567637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE SIMMONS Health Educator Nutritional Counsel 718-551-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304314-1) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-24 |