| NPI | 1689443665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN BAFFOUR-ARHIN Nurse Practitioner 347-420-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-05-03 |