| NPI | 1396515524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KASPER Manager 646-450-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |