| NPI | 1376912840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJOY PANDEY Inte RN Ist 718-234-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY 30307480) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |