| NPI | 1881353019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BOATENG-WILSON Doctor 917-488-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |