| NPI | 1619415205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ALYSON SAIKUM Nurse Practitioner 516-807-1058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 341351) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |