| NPI | 1598369589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY LAWRENCE Business Administrator 516-584-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-10-06 |