| NPI | 1669981619 |
|---|---|
| Other Name | GYN. ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |