| NPI | 1487516365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEZHDA SOLOVYEVA Nurse Practitioner 917-533-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-11-28 |