| NPI | 1467981944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE YOUNJEA Authorize Officer 347-834-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY F339225) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |