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 |