| NPI | 1669189619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FERNANDEZ VP, Rcm 516-972-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |