| NPI | 1992822118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA STEINBERG Office Manager 201-986-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 301091004) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 301091004) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2023-01-06 |