| NPI | 1184871774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILESH MEHTA Doctor 646-281-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 305R00000X Preferred Provider Organization (Licence: NY 227132) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-09-22 |