| NPI | 1265621494 |
|---|---|
| Doing Business As | STATEN ISLAND GASTRONENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ANN MCCORMICK Billing Manager 718-720-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-10-15 |