| NPI | 1306707245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SUSAN WANG Owner 917-805-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |