NPI | 1316597164 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENA SIMPSON Sr. Director, Cred & Enrollment 516-207-7851 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2019-09-13 |
Last Update Date | 2021-10-25 |