| NPI | 1780950816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MIRRA Billing Supervisor 212-308-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |