| NPI | 1629819602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRAKHAM RUBINOV Nurse Practitioner 718-350-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |