NPI | 1518459569 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER TOMAINO Authorized Official 631-714-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270874) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2021-03-18 |