| NPI | 1811127632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY NINIA Sole Proprietor 631-331-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 174810) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2010-08-25 |