| NPI | 1821337544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE PEREZ Secretary 718-459-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 202822) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |