| NPI | 1093292864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC OLIVERA Managing Member 718-238-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 236536) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-08-20 |