| NPI | 1477383719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRISA MEZORE Fnp 917-859-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-10-24 |