| NPI | 1578981148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN S. HASELKORN Physician 516-255-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 1530671) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |