| NPI | 1194074187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KOUFMAN President 212-463-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |