| NPI | 1780457697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU K JOSE Owner 516-477-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 225700000X Massage Therapist | |
| 227900000X Respiratory Therapist, Registered | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-01-06 |