| NPI | 1962455279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL GAZZILLO Office Manager 518-793-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-02-24 |