| NPI | 1912595828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS WOODARD Vice President Of Revenue Cycle 646-825-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-09-17 |