| NPI | 1457695827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAVEL S ELLIOTT President 516-285-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303126) |
| Enumeration Date | 2012-11-24 |
| Last Update Date | 2012-11-24 |