| NPI | 1508189226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A. GALLO President 516-248-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 126186) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-07-21 |