| NPI | 1881427250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KPAKA Family Nurse Practitioner 347-938-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |