| NPI | 1386072833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANGETA MCGROWTHER FERGUSON Owner 516-867-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340165) |
| Enumeration Date | 2013-10-20 |
| Last Update Date | 2013-10-20 |