| NPI | 1508964412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN GARA Owner 518-929-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420638) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |