| NPI | 1528467685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSTAS SIDERIDIS Owner 516-802-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 220299) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 238095) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |