| NPI | 1457751349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCDOUGLE SVP/Chief Operating Officer 212-305-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |