| NPI | 1356004956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIJAI BLACKWELL CEO, Member, Manager 646-259-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |