| NPI | 1356979447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA BHANDARI Managing Member 516-587-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-05-12 |