| NPI | 1790969343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH DHIRAJLAL SHAH Owner / President 315-724-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 165131) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |