| NPI | 1033565221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RADOSHKEVICH President 347-254-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 253332) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |