NPI | 1497309827 |
---|---|
Doing Business As | YAHWEH MEDICAL CLINIC PSC |
Entity Type | Organization |
Authorized Contact | ASHER GABRIEL Owner 631-790-2862 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-09-19 |