| NPI | 1336432673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RIEBER Doctor 917-902-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 203024) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |