| NPI | 1407247430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE STRANGE Owner 718-226-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339345) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |