| NPI | 1457119992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY ISRAEL MALIMPENET Dnp, Fnp Bc, Cen, Cpen 516-697-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |