| NPI | 1639472475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ENG Owner 212-219-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 188325) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-08-01 |