| NPI | 1528253929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY HANNAH ORTIZ Owner 631-298-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 199062) |
| Additional Taxonomies | 174400000X Specialist |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2021-10-26 |