| NPI | 1528273224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA PLESHCHITSER Practice Manager 718-851-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 194286) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 194286-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 093855-1) | |
| 363A00000X Physician Assistant (Licence: NY 008017-1) | |
| 363A00000X Physician Assistant (Licence: NY 608017) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-10-26 |