| NPI | 1518902691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAT AHLUWALIA Medical Provider/Owner 315-823-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 154104-1) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |