| NPI | 1497820799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIROOZ RAVANGARD President 315-724-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 147007) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-07-01 |