| NPI | 1477605392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV BANSAL Owner 516-437-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 203665) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-05-14 |