| NPI | 1811429327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA FARLEY Credential Coordinator 516-414-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |