| NPI | 1063241644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WIDROFF AO 646-732-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |