| NPI | 1689021529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID BLATT Medical Director 917-658-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-08-30 |