| NPI | 1467210567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA-KAY HYLTON Nurse Practitioner 646-245-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |