| NPI | 1568223923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN MARIWALLA CEO 631-885-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-07-30 |