TRIBOROUGH GASTROENTEROLOGY PC

WOODSIDE, NY
NPI1548705817
Entity TypeOrganization
Authorized ContactLAWRENCE JOHN OTTAVIANO
Owner
212-655-7310
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2016-12-22
Last Update Date2016-12-22
Business Address
TRIBOROUGH GASTROENTEROLOGY PC
5314 ROOSEVELT AVE
WOODSIDE, NY 11377-4239
Phone number: 212-655-7312
Mailing Address
TRIBOROUGH GASTROENTEROLOGY PC
303 5TH AVE SUITE 1205
NEW YORK, NY 10016-6601
Phone number: