| NPI | 1437570256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHNSON Md 646-355-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-23 |