| NPI | 1851784953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CUMANDA DELROCIO ANGUSTIA President 718-644-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337028) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |