| NPI | 1699003715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE PRIDGEN President 516-770-3159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 22803) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |