| NPI | 1861521981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN VAVAS Credentials 516-255-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NY 213395) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |