| NPI | 1811654411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL SAINTUS Nurse Practitioner 917-715-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-02-07 |