| NPI | 1447635776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN BORDONE- BACARELLA Registered Nurse 718-902-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 642076) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |