| NPI | 1376647917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJOY KUMAR ROY Administrative Head 315-234-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 142063) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |