| NPI | 1518342989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN VERA'S Owner 646-918-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F420186-1) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |