| NPI | 1992444210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALU LEWIS Nurse Practitioner 718-619-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-09-19 |