| NPI | 1295933422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WILSON Owner/Physician 718-398-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 217328) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |