| NPI | 1285249268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE L WATSON Member 518-451-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-01-11 |