| NPI | 1598452211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONA JANE TAJONERA President 347-298-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-05-11 |