| NPI | 1538904156 |
|---|---|
| Doing Business As | 360 MED |
| Entity Type | Organization |
| Authorized Contact | BEVIN ANNE SULLIVAN Owner/Provider 718-450-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 261QP3300X Clinic/Center, Pain | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-09-03 |