| NPI | 1376950279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D OKORO Doctor Of Nursing Practice, Apn 718-753-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 26NJ00257300) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NJ 26NJ00257300) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ00257300) | |
| 208D00000X General Practice (Licence: NJ 26NJ00257300) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-04-27 |