| NPI | 1659761518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA GUEVARA Lpn 347-365-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 319913-1) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 319913-1) |
| 363L00000X Nurse Practitioner (Licence: NY 319913-1) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |