| NPI | 1619563566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENJOLI MCQUEEN KING Provider 718-569-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |