| NPI | 1659082881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA CONVERTITO Owner, Medical Director 203-513-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-03-03 |