| NPI | 1356060099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIRA DELACRUZ President 201-233-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 246YR1600X Spec/Tech, Health Info, Registered Record Administrator | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-11-08 |