| NPI | 1598512626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN WEBER Administrator 212-889-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |