| NPI | 1407477821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M JOSEY Owner 347-989-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-06-02 |