| NPI | 1023310968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAT KUMAR AHLUWALIA Director 315-823-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 154104) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-06-30 |