| NPI | 1437304136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY KERNISANT CEO 718-422-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335726) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |