| NPI | 1114809035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO OTTAVIANO Medical Doctor 212-254-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |