| NPI | 1003063371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIKA LORICK Credentials Coordinator 718-270-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 248441) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |