| NPI | 1912374265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA FLAKS Nurse Practitioner 917-593-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 26nj00300300) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |