| NPI | 1982093944 |
|---|---|
| Other Name | FAMILY PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OGUNDALU Registered Nurse 347-683-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: NY 689977) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 689977) |
| 302R00000X Health Maintenance Organization (Licence: NY 689977) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 689977) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 689977) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |