| NPI | 1669128955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GUARNACCIA Owner 917-414-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-03-08 |