| NPI | 1619250073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA MIKHEYEVA Owner 718-485-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 254486) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 254486) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 254486) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |