| NPI | 1306976394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR SAUL HENRIGUEL Owner 518-482-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 114044) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |