| NPI | 1356885180 |
|---|---|
| Doing Business As | EN SU CASA PRIMARY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LILIANA LOPEZ Provider 845-499-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334480) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |