| NPI | 1003098260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIVERA Director, Medical Board 718-270-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 245923) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |