| NPI | 1114366408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY P JOBANPUTRA President 516-478-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 236233) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |