| NPI | 1255879060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STERNE Owner 754-234-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS5102) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL ME47100) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9299227) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-09-19 |