| NPI | 1851774574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROSHAN Owner 516-439-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 55324) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-10-29 |