| NPI | 1700266244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA KUZNETSOVA Nurse, RN 718-578-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 555778) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 555778) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |