| NPI | 1447509344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ONYEBEKE Medical Director/Administrator 631-206-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NY 160122S) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |