| NPI | 1366006439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY-ANNE WILLIAMS Nurse Practitioner 631-816-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |