| NPI | 1184921371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROM GUPTA Administrator 718-672-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2012-12-18 |