| NPI | 1972556603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA MUNAROVA President 718-730-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 231069) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-12-07 |