| NPI | 1750062576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL AKINYEMI Nurse Practitioner 917-214-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X Clinic/Center | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-12-08 |