| NPI | 1861131294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TZVI FARKAS Np 845-232-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-01-25 |