| NPI | 1508338344 |
|---|---|
| Doing Business As | AMG |
| Entity Type | Organization |
| Authorized Contact | OKWUCHI V ADODO Owner 718-844-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-02-13 |