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 |