| NPI | 1538816624 |
|---|---|
| Former Legal Business Name | BAY RIDGE GASTROENTEROLOGY, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANILA HOXHA Practice Manager 718-745-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-09 |