| NPI | 1578345807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY YHAP CEO 347-679-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |