| NPI | 1144698481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A PARBUS Manager 315-387-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A79656) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2018-03-07 |