| NPI | 1508347873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MOSHENYAT Administrator 718-645-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-07-22 |