| NPI | 1013263680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NOELLE ELLISTON Partner 917-397-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 262869) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |