| NPI | 1528412319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES OLINER Owner 516-902-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-04-11 |