| NPI | 1841775210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI ANTHONY NELSON Chief Medical Officer 914-217-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-12-15 |