| NPI | 1285473819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CI AI LI Nurse Practitioner In Adult Health 646-270-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |