| NPI | 1427416189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA RYZHAKOVA Owner 347-450-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340277) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2024-12-12 |