| NPI | 1174287700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER BERRY Medical Doctor 646-876-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2024-08-02 |