Organization
SUPPORTIVE IMMEDIATE CARE
Active
Other names
Supportive Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
GILLY ARTHURS DNP, FNP-BC (OWNER)
(846) 276-0830
Entity
Organization
Contact information
Practice address
10 ELM ST STE 1, CORNWALL, NY 12518-1486
(846) 276-0830
Mailing address
10 ELM ST STE 1, CORNWALL, NY 12518-1486
(846) 276-0830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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