| NPI | 1477820934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN DIXON CEO 347-831-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-01347) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 201001347) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-02-20 |