| NPI | 1861378333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMELITA PEPER Owner/Authorized Official 631-742-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |