| NPI | 1720402613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA TUBMAN Physician 917-862-4218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 240622) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |