| NPI | 1164675609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A VAZQUEZ Financial Administrator 646-962-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |