| NPI | 1457533093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUIANA SHANTEL MCCOOK Office Manager 917-492-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 191295) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 217924) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 216565) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2012-06-14 |