Organization
WOMENS OB GYN CARE AT THE PAVILION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAFONTANT (PRESIDENT)
(201) 446-6401
Entity
Organization
Contact information
Practice address
3250 WESTCHESTER AVE, SUITE 111-112, BRONX, NY 10461-4500
(718) 231-7900
Mailing address
3250 WESTCHESTER AVE, SUITE 111-112, BRONX, NY 10461-4500
(718) 231-7900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
145497
NY
Other
Enumeration date
05/12/2006
Last updated
12/12/2012
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