| NPI | 1588696710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT R SHAW Business Manger 718-823-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 205387) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-04-30 |