| NPI | 1225053143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WEISSBLUTH Owner 718-934-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |