| NPI | 1902379670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR GRANADOS President 347-207-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2024-11-05 |