| NPI | 1912252602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIONNE P ALLEN-SINGH President, CEO 866-667-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |