| NPI | 1336361831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BAKER Office Manager 631-273-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 156754) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-27 |