| NPI | 1922893148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA RICCI RENDOR Family Nurse Practitioner 516-737-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-08-08 |