| NPI | 1659182947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY EWING Owner 845-543-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-02-24 |