| NPI | 1568712552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIQUE DESIRE-BRISARD Executive Director 646-648-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333149) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |