| NPI | 1881308799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA VENTURA ESTORES Nurse Practitioner / Owner 914-402-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-05-28 |