| NPI | 1215687223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX STEVEN PITMAN Medical Director 917-626-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |