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 |