| NPI | 1801246582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANA MIRSKY CEO 718-614-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 363L00000X Nurse Practitioner | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-06-14 |