| NPI | 1447947767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONA JANE TAJONERA CEO 347-298-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207R00000X Internal Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |