| NPI | 1083194351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA SHUSTINA CEO 212-634-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 255074) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-17 |