| 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 |