| NPI | 1861671323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAREH BAGHERIAN Owner 718-266-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 221068) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |