| NPI | 1801063003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIQUEL R CARRASCO Owner 212-772-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 206772) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-12-09 |