| NPI | 1245575760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED A AVILA President 212-928-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 118487) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-03-07 |