NPI | 1174928378 |
---|---|
Entity Type | Organization |
Authorized Contact | KELVIN K JACK President 718-688-8088 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 002201) |
Enumeration Date | 2014-10-30 |
Last Update Date | 2014-10-30 |