| NPI | 1588102727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADJA LOUIS-JACQUES Nurse Practitioner 516-782-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336938) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-09-24 |