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 |