Individual
PEER DAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
INSTITUTE FOR WOMEN'S HEALTH, 1695 EASTCHESTER ROAD, BRONX, NY 10461
(718) 405-8218
(718) 405-8024
Mailing address
1695 EASTCHESTER RD, L4, BRONX, NY 10461-2374
(718) 405-8218
(718) 405-8024
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
240271
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
240271
NY
Other
Enumeration date
10/17/2006
Last updated
10/24/2011
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