| NPI | 1982942413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CORETTA HARVEY Owner/President 718-570-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |