| NPI | 1508909805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M MORADI President 718-380-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-05-19 |