| NPI | 1316203441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY CHU Billing Manager 718-321-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |