| 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 |