| NPI | 1083972764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE B BREITEN Owner 607-433-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 1966041) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |