NPI | 1326390543 |
---|---|
Doing Business As | CARMAN AVENUE MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | LIDIA ZACHARSKI Owner, Primary Practitioner 516-280-7244 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336337) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2013-05-22 |