| NPI | 1417259623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M JOHNSON Physician 212-861-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 206723) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |