| NPI | 1417509357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBRINA HENDERSON Family Nurse Practitioner 917-359-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-10-15 |