| NPI | 1407387251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUI-CHING E MAK Np 917-930-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340472) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 340472) |
| 363L00000X Nurse Practitioner (Licence: NY 440039) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-05-09 |