| NPI | 1528511318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FLORES Credentialing Specialist 718-313-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 274698) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-12-04 |