| NPI | 1114637972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER BERRY Cmo 646-876-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |