| NPI | 1750519039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANTA CHANDRA President 718-418-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 123612) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 192258) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 205630) | |
| 363A00000X Physician Assistant (Licence: NY 005610) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |