| NPI | 1376341982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHAN BAND Nurse Practitioner 929-376-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 174H00000X Health Educator | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-10 |