| NPI | 1336778281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RENEE O'REGGIO-BRADSHAW Family Health Nurse Practitioner, P 347-586-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-05-16 |