| NPI | 1720859747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRISA MEZORE Owner 917-859-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-04-04 |