NPI | 1265086334 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS VENCE SAGLIMBENI Owner 631-379-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-07-27 |
Last Update Date | 2019-07-27 |