NPI | 1861129587 |
---|---|
Doing Business As | PROCARE WELLNESS INSTITUTE OF SAVANNAH |
Entity Type | Organization |
Authorized Contact | DOMENICK PISCIOTTA Clinic Owner 516-315-4732 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-08-03 |
Last Update Date | 2024-11-21 |