NPI | 1285813840 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY BOQUARD GENICK Owner 716-668-1902 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 206982) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2007-10-31 |