| NPI | 1972929362 |
|---|---|
| Doing Business As | PREMIER OB/GYN |
| Entity Type | Organization |
| Authorized Contact | SIMON GEORGE KOKKINAKIS Member/Operating Manager 718-477-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 231835) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2015-03-26 |