| NPI | 1659500270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE CALLAS Nurse Practitioner 631-830-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303856) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-04-27 |