| NPI | 1316331978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASPAR ROSARIO Nurse Practitioner 844-633-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304234) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00162800) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2015-03-22 |