| NPI | 1891319810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAM LYONS Owner 917-576-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-01-26 |