| NPI | 1528356839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L LUCAK President 212-861-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 154388) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2013-04-25 |