| NPI | 1326673559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK HUSNEY Doctor 718-872-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-10-29 |