| NPI | 1982293098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BOUSKILA Credentialing Manager 646-737-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-02-22 |