| NPI | 1831580091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRY GONCHAROV President 718-751-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 269283) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |