NPI | 1528673050 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK MERCER Credentialing Specialist 718-877-6388 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |