NPI | 1578633822 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN TANNEN Administrator 631-751-5724 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |