| NPI | 1295582328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE HINDS-JACKSON Nurse Practitioner 646-942-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |