| NPI | 1376712356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD W BRADNOCK President 718-217-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 181072) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-06-10 |