| NPI | 1538805957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU K JOSE Owner 516-477-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 225700000X Massage Therapist |
| 227800000X Respiratory Therapist, Certified | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-11-03 |