| NPI | 1033225370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M HERZOG Owner Physician 347-745-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 172295-NY) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |