| NPI | 1437482551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL COOPER Medical Director 631-273-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NY 092267) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |