| NPI | 1598952863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CHANCE Office Manager 516-487-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 087746) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-09-19 |