NPI | 1861781619 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER STEVEN SPERICO President 516-455-3413 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 336101) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 409409) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2011-04-11 |