NPI | 1780406983 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSHIL PANDEY Member Manager 347-239-6581 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-10-29 |
Last Update Date | 2025-09-01 |