| NPI | 1356039424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY VINCENT Family Nurse Practitioner 917-415-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |