| NPI | 1366108946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA SIMPSON Sr. Director, Cred & Enrollment 516-207-7851 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |