| NPI | 1467750075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ROSE MCNAMARA Director 631-365-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340207) |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2022-01-10 |