| NPI | 1578724019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNA C WICKREMESINGHE Director 718-448-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-09-29 |