| NPI | 1972255446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL A ULLOA President 917-773-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |