| NPI | 1003951203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M MULROONEY Owner 212-358-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 168802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 168802) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-03-17 |