| NPI | 1982379962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANGELIQUE PEREZ Family Nurse Practitioner 646-554-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |