| NPI | 1770246191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONA JANE TAJONERA President 347-298-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251K00000X Public Health or Welfare | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-03-23 |