| NPI | 1649989138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS WILLIAM KLECAN Owner 718-942-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-07-18 |