| NPI | 1114934718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIA THOMAS KOUDELLOU Owner 718-932-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 230323) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |