| NPI | 1508314774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ANTONELLI Owner 718-217-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-10-21 |