| NPI | 1649668153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA PYATIGORSKAYA Owener 718-975-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 482054) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |