| NPI | 1750125332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BURKE Family Nurse Practitioner 646-574-2957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |