SHINING LIGHT FAMILY HEALTH NP PC

BRONX, NY
NPI1497240683
Doing Business AsADVANCED PREVENTIVE MEDICINE
Entity TypeOrganization
Authorized ContactLIDIA VIRGIL
President/CEO
516-971-1824
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2018-06-29
Last Update Date2018-08-08
Business Address
SHINING LIGHT FAMILY HEALTH NP PC
1030 SHERIDAN AVE
BRONX, NY 10456
Phone number: 516-971-1824
Mailing Address
SHINING LIGHT FAMILY HEALTH NP PC
5030 BROADWAY STE 818
NEW YORK, NY 10034-1670
Phone number: 212-567-4931