| NPI | 1063697704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURE M LAURISTON Physician 914-423-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 242494) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-07-17 |