| NPI | 1245814466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MMAMAH SAKHO Owner 917-362-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |