| NPI | 1184712341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE MAZZA Asst COO 718-403-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NY 239572) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |