NPI | 1972394773 |
---|---|
Entity Type | Organization |
Authorized Contact | SVEN KARLSSON COO 917-310-5621 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice |
207R00000X Internal Medicine | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2025-05-13 |
Last Update Date | 2025-05-16 |