| NPI | 1053880054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH M ST. LOUIS Owner 516-491-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-06-03 |