| NPI | 1306233408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM GORDON COO 718-815-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381940) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |