| NPI | 1447303128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A FAZIO President 718-448-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-04-14 |