| NPI | 1508107905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMONTE HOWARD Administrator 917-294-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09012200) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2013-03-09 |