| NPI | 1104945666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GUILBAUD Administrator 718-793-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |