| NPI | 1447372172 |
|---|---|
| Doing Business As | SOUTH AVENUE OB GYN GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN H EISINGER Partner 585-341-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 130445) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |