NPI | 1700537883 |
---|---|
Entity Type | Organization |
Authorized Contact | AUDREY VITAL-ROSADO Rcm Manager 917-647-1665 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2022-01-11 |
Last Update Date | 2025-05-13 |