| NPI | 1972145506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIDA BAZOLO N'GOUAMBA President 718-205-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |