| NPI | 1871469569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO JOSE SILVA Medical Director 516-554-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |