| NPI | 1528435872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHIA GRAHAM Family Nurse Practitioner 718-295-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |