| NPI | 1386947778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LUCIEN Nurse Practioner In Adult Health 917-929-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302642) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340543) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |