| NPI | 1497469894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARGIZA SOBIROVA Credentialing Specialist 718-934-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |