| NPI | 1134530405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEVY GANTT Owner/Physician 516-270-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A8707) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |