| NPI | 1437957602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIURKA DEL C MORALES CASTELLANOS Family Nurse Practitioner 315-863-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |