| NPI | 1144563719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMER K MASOOD Owner 516-307-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 230809-1) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-01-08 |