NPI | 1649452814 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA RIVERA Director, Medical Board 718-270-7379 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 501898) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |