NPI | 1336833938 |
---|---|
Entity Type | Organization |
Authorized Contact | AIDEEN KY BRIONES Director Of Practice 917-215-7471 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-10-18 |