| NPI | 1457393092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULGHAFFAR MUSA Physician/President 315-423-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 121670) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |