| NPI | 1760797930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANSEN MACALINDONG Consultant 917-829-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2011-04-23 |