| NPI | 1801224936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN KENNEDY Registered Nurse 718-617-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 242977) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |