| NPI | 1184921728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WONG Owner 917-535-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 223587) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2017-03-15 |