| NPI | 1629633839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY-ANNE WILLIAMS Nurse Practitioner 631-816-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 374U00000X Home Health Aide | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |