| NPI | 1992458996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISTVAN President/Co Owner 917-679-1675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-03-03 |