| NPI | 1619036712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARTIN Billing 845-216-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-03-14 |