| NPI | 1982368221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE MARIE HARRISON Owner 718-208-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |