| NPI | 1972554343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY SHUSTER President 718-743-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 230081) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-10-19 |