| NPI | 1568555480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART WILLIAM GILLIM President 607-835-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 108764) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-10-02 |