| NPI | 1609287812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BLAKE Owner/Operator 347-926-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NY 213092) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |