NPI | 1922889104 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH WIESENFELD Administrator 718-408-8860 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |