| NPI | 1689795353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA O'HANLON Manager, Medicaid And Managed Care 914-467-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420165) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-09-07 |