| NPI | 1750926259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE PIERCE Practice Manager 516-244-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |