| NPI | 1356524409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE BREDA Mgr 631-951-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |