| NPI | 1023770153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADANNA CYNTHIA UKAZU Medical Director 917-449-8724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-07-12 |