| NPI | 1578118261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA ROSE SANTANA Nurse Practitioner 347-322-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2021-11-30 |