| NPI | 1982906269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC K OLIVERA Physician/Owner 718-222-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 236536) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |