| NPI | 1457050585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER MAZAHREH Owner/Partner 914-654-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-04-14 |