| NPI | 1992466502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOO KWON Owner 212-288-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |