| NPI | 1578965638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTIN VAIZMAN Medical Director 347-446-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |