| NPI | 1740593474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LANZA Owner 718-980-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334736) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2011-06-16 |