| NPI | 1710621776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J FERNANDEZ VP Rcm 516-972-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-09-13 |