| NPI | 1649219015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CABALLERO Credentialing Manager 718-268-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 207929) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-05-19 |