| NPI | 1447450515 |
|---|---|
| Doing Business As | PHOENIX OB/GYN SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANGELA TODD President 718-217-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 173659) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-11-04 |