| NPI | 1255718276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREENBLATT Owner 201-684-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-11-29 |