| NPI | 1740757251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA ROSE SANTANA Owner 347-322-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-12-07 |