NPI | 1841903192 |
---|---|
Entity Type | Organization |
Authorized Contact | TSZHODERRICK LUM Family Nurse Practitioner 646-763-4574 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-01-03 |
Last Update Date | 2023-04-11 |