| NPI | 1144538877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EVANOV Owner 516-352-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 124049) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |