| NPI | 1649429929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG GUTNIK Medical Director 718-332-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |