| NPI | 1265971246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WALKER Owner 516-286-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 5101015379) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |