| NPI | 1982791489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEFINA V MARIN Owner 518-456-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 133339) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |