| NPI | 1538898143 |
|---|---|
| Doing Business As | SHORE PARKWAY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ERTJE RUBENSTEIN Np 718-372-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |