| NPI | 1316031503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRETAM G. RAMPERSAUD Owner 718-980-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 222044) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 210256) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |