| NPI | 1275719064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JONATHAN KILTZ Owner 518-482-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 229410) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |