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 |