| NPI | 1386711406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANAN BAROT Billing Manager 516-693-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA35950) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-05-13 |