| NPI | 1598161812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONA KURPAKOV President 646-409-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306822) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-09-12 |