| NPI | 1467763748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ABOUGOU Provider 315-788-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 003258) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |