| NPI | 1487379475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNITA MALINDA TAYOR Np/Owner 718-316-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |