| NPI | 1255865499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHELAN CLANCY President 516-356-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 6573601) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |