| NPI | 1366153199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LUCAS Nurse Practitioner/ CEO 718-413-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |